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Organization
LAVON DENTAL AND IMPLANT CENTER PLLC
Active
Organization
LAVON DENTAL AND IMPLANT CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN KUIPERS DDS (OWNER)
(972) 530-8800
Entity
Organization
Contact information
Practice address
410 STATE HIGHWAY 78, LAVON, TX 75166-1277
(972) 530-8800
Mailing address
2006 N GARLAND AVE, GARLAND, TX 75040-3302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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